CMS Formulary

Displaying 15901-15910 of 1611142 results.
ID: 15901
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 748832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15902
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15903
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15904
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1485332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15905
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1543553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15906
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1422081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15907
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1427300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15908
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 748800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15909
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1599949
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 15910
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 848180
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0